<!--
Do not modify the NAME value of any of the INPUT fields
the FORM action, or any of the hidden fields (eg. input type=hidden).
These are all required for this form to function correctly.
-->
<form method="post" action="%%FormAction%%" class="myForm">
	<dl>
		%%FormContents%%
		<dt>&nbsp;</dt>
		<dd>
			<input type="submit" value="Unsubscribe" />
			<br/>%%LNG_Form_Branding%%
		</dd>
	</dl>
</form>